Individual
LAB NIKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
2013 ELK RUN DR SE, PINE ISLAND, MN 55963-2812
(212) 300-7960
Mailing address
2013 ELK RUN DR SE, PINE ISLAND, MN 55963-2812
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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